Evidence map›Paper›PMID 30236063›Full record

ReviewBMC geriatrics2018

Geriatric palliative care: a view of its concept, challenges and strategies.

R Voumard, E Rubli Truchard, L Benaroyo, G D Borasio, C Büla, R J Jox

Open access · goldAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in BMC geriatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 pooled it
9.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 1 synthesis or guideline pooled it, 139 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. [Advance Directives in Geriatrics: Proposed Management Algorithm].Revista medica del Instituto Mexicano del Seguro Social · 2025
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Technology to Support Older Adults in Home Palliative Care: A Scoping Review.The American journal of hospice & palliative care · 2024
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

R VoumardService of Palliative and Supportive Care, Department of Medicine, Lausanne University Hospital, Avenue Pierre-Decker 5, CH-1011, Lausanne, Switzerland.
E Rubli TruchardGeriatric Palliative Care, Department of Medicine, Lausanne University Hospital, Avenue Pierre-Decker 5, CH-1011, Lausanne, Switzerland.
L BenaroyoClinical Ethics Unit and Institute of Humanities in Medicine, Faculty of Biology and Medicine, University of Lausanne, Avenue de Provence 82, CH-1011, Lausanne, Switzerland.
G D BorasioService of Palliative and Supportive Care, Department of Medicine, Lausanne University Hospital, Avenue Pierre-Decker 5, CH-1011, Lausanne, Switzerland.
C BülaService of Geriatric Medicine and Geriatric Rehabilitation, Department of Medicine, Lausanne University Hospital, Chemin de Mont-Paisible 16, CH-1011, Lausanne, Switzerland.
R J JoxService of Palliative and Supportive Care, Department of Medicine, Lausanne University Hospital, Avenue Pierre-Decker 5, CH-1011, Lausanne, Switzerland. ralf.jox@chuv.ch.ORCID 0000-0002-3040-4714
University of Lausanne · CHUniversity Hospital of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In aging societies, the last phase of people's lives changes profoundly, challenging traditional care provision in geriatric medicine and palliative care. Both specialties have to collaborate closely and geriatric palliative care (GPC) should be conceptualized as an interdisciplinary field of care and research based on the synergies of the two and an ethics of care.Major challenges characterizing the emerging field of GPC concern (1) the development of methodologically creative and ethically sound research to promote evidence-based care and teaching; (2) the promotion of responsible care and treatment decision making in the face of multiple complicating factors related to decisional capacity, communication and behavioural problems, extended disease trajectories and complex social contexts; (3) the implementation of coordinated, continuous care despite the increasing fragmentation, sectorization and specialization in health care.Exemplary strategies to address these challenges are presented: (1) GPC research could be enhanced by specific funding programs, specific patient registries and anticipatory consent procedures; (2) treatment decision making can be significantly improved using advance care planning programs that include adequate decision aids, including those that address proxies of patient who have lost decisional capacity; (3) care coordination and continuity require multiple approaches, such as care transition programs, electronic solutions, and professionals who act as key integrators.

Indexed as

Advance Care PlanningAgedClinical Decision-MakingDelivery of Health CareGeriatricsHumansPalliative CareEthics of careGeriatricsHealth policyInterdisciplinaryPalliative care

Identifiers

PMID30236063
PMCPMC6148954
OpenAlexW2891420908

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.